View titles by Topic and Target Audiences listed below, and then select quantities for each title.

Limit quantities requested to only the amount of each material you are able to distribute to those for whom the material is intended.

Please limit orders to no more than 20 different publications/titles at one time.

Allow four (4) to six (6) weeks for delivery.

*Attention: This form uses e-mail submission to send your order to the department, this may not work for some users depending on the settings of their computer. If you are having difficulty submitting your order you can download the printable PDF version of the form, fill it out and fax or mail it in.

Please note:
New York State Department of Health AIDS Institute materials about HIV, including those materials that are designated as being for persons with HIV, are available to anyone regardless of their HIV status. Consequently, requests for such materials do not identify the requestor as a person with HIV.
Completion of the address label included in the HIV/AIDS Consumer Materials Order Form and subsequent electronic transmittal of the completed order form constitutes your acknowledgement that you understand that your request for HIV/AIDS materials will be handled over a non-secure Internet site and that you agree to and approve of your order being handled in this manner.